Individual
MR. ADAM DAVID MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3562
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3562
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/09/2015
Last updated
04/23/2020
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